Individual
MRS. CARLA MCMANUS DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2400 HERODIAN WAY SE, SUITE 220, SMYRNA, GA 30080-8581
(404) 520-0071
Mailing address
820 W MARIETTA ST NW, #1325, ATLANTA, GA 30318-5293
(404) 520-0071
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008476
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YP2500X
—
GA
Enumeration date
07/22/2016
Last updated
12/13/2016
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